NPI | 1376780841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 039963) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: TN 039963) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 039963) | |
Enumeration Date | 2009-01-20 |
Last Update Date | 2009-06-22 |